Hartsough, Nicole Ann
Hartsough, Nicole Ann is an sole proprietor health care provider with primary practice located at 7402 E Riverside Blvd , Loves Park IL 61111-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Hartsough, Nicole Ann can be contacted via phone (815) 226-9642.Contact Information
Primary practice address
7402 E Riverside Blvd
Loves Park IL 61111-5630
Phone: (815) 226-9642
Fax: (815) 226-9672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Illinois |
Profile Details
| NPI number | 1962400382 |
|---|---|
| LBN Legal business name | Hartsough, Nicole Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2005 |
| Last updated | Oct 18th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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